Desensitization of triggers and urge reduction for paruresis: A case report
Paruresis is a special type of non-generalized social phobia that involves fear and avoidance of urination in public restrooms. We administered eight 60-minute sessions of desensitization of triggers and urge reduction (DeTUR), an addiction protocol of eye movement desensitization and reprocessing (EMDR) therapy, to a 29-year old man with paruresis of 10 year duration. Because phobic avoidance is the hallmark of any anxiety disorder, we applied DeTUR targeting the urge to avoid each anxiety-provoking situation in succession. After treatment, the participant no longer met the requirements for a diagnosis of social anxiety disorder, and the self-reported symptoms of social anxiety had decreased to non-clinical levels; furthermore, these treatment gains were maintained at the one-year follow-up. Further clinical studies are needed to generalize this finding.
Original Work Citation
Park, H., Kim, D., Jang, E. Y., & Bae, H. (2016). Desensitization of triggers and urge reduction for paruresis: A case report. Psychiatry Investigation, 13(1), 161-163. doi:10.4306/pi.2016.13.1.16
“Desensitization of triggers and urge reduction for paruresis: A case report,” Francine Shapiro Library, accessed November 15, 2018, https://emdria.omeka.net/items/show/23732.